| Whitney M. Young Jr. Health Center, Inc. | |
|
10 Dewitt Street Whitney M. Young Jr. Health Center, Inc. Albany NY 12207-1300 | |
| (518) 465-4771 | |
| (518) 320-3022 |
| Full Name | Whitney M. Young Jr. Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Dewitt Street, Albany, New York |
| Authorized Official Name and Position | Donna Connors (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5184654771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney M. Young Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | Whitney M. Young Jr. Health Center, Inc. 10 Dewitt Street Whitney M. Young Jr. Health Center, Inc. Albany NY 12207-1300 Ph: (518) 465-4771 |
| NPI Number | 1942660105 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20170622001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942660105 | NPI | - | NPPES |
| 331807 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
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